title: Artisan iris-fixated toric phakic intraocular lens for the correction of high astigmatism after deep anterior lamellar keratoplasty.
abstract: We report the refractive correction of high astigmatism in one eye of a 23-year-old woman following deep anterior lamellar keratoplasty (DALK) using an Artisan iris-fixated, toric, phakic intraocular lens (IOL). One year after implantation, uncorrected and corrected distance visual acuities were both 20/25, refraction was -1.00 D cylinder, and the endothelial cell count was 1827 cells/mm(2). Iris-fixated phakic IOLs are not recommended for every postkeratoplasty patient with high refractive error; however, this procedure can offer good outcomes in carefully selected cases of previous DALK.
authors.affiliation: Department of Ophthalmology, Mouassat University Hospital, Damascus University, Damascus, Syria.
authors.forename: Madonna G
authors.initials: MG
authors.lastname: Al-Dreihi
authors.forename: Bachar I
authors.initials: BI
authors.lastname: Louka
authors.forename: Anas A
authors.initials: AA
authors.lastname: Anbari
mesh_terms: D001251:Astigmatism / Q000601:surgery*; D016039:Corneal Transplantation; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D054120:Phakic Intraocular Lenses; D011183:Postoperative Complications; D016896:Treatment Outcome; D055815:Young Adult